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Free MRCP(UK) Part 1 Exam Prep

Membership of the Royal Colleges of Physicians of the United Kingdom (MRCP(UK)) Part 1 Examination

Prepare for the MRCP(UK) Part 1 exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.

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Your Study Path

MRCP(UK) MRCP(UK) Physician Exams License: Complete Roadmap

Follow this path to organize your licensing and exam preparation

1

Clinical Sciences & Pharmacology FoundationYou are here

Master foundational sciences including genetics, molecular biology, immunology, physiology, statistics, and clinical pharmacology representing 40 exam questions.

50
hours
2

Core High-Yield Medical Specialties

Focus on high-volume specialties including cardiology, respiratory, gastroenterology, endocrinology, neurology, and renal medicine.

80
hours
3

Additional Specialties & Systemic Medicine

Cover rheumatology, infectious diseases, haematology, dermatology, psychiatry, oncology, palliative care, and ophthalmology.

50
hours
4

Timed Best-of-Five Mocks & Equating Practice

Complete full-length 100-question timed papers adhering to the 1.8-minute pace required for the two 3-hour papers.

30
hours
Estimated total study time
210 hours
That's about 21 weeks at 10 hours/week

Can You Take the MRCP(UK) Part 1 Exam?

Check if you meet the basic eligibility requirements

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Free MRCP(UK) Part 1 Prep Tools

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What You'll Study

27 chapters covering the exam topics in this guide

1

MRCP(UK) Part 1: Exam Overview, Blueprint & Strategy

3 sections

2

Clinical Sciences: Cellular, Genetic & Molecular Medicine

6 sections

3

Clinical Sciences: Anatomy, Physiology & Immunology

3 sections

4

Clinical Sciences: Statistics, Epidemiology & Trial Design

3 sections

5

Clinical Pharmacology, Therapeutics & Toxicology

5 sections

6

Cardiology: Coronary Artery Disease & Heart Failure

3 sections

7

Cardiology: Arrhythmias, Valvular & Pericardial Disease

5 sections

8

Respiratory Medicine: Airway & Parenchymal Lung Disease

4 sections

9

Respiratory Medicine: Vascular, Pleural & Sleep Disorders

3 sections

10

Gastroenterology: Luminal Gastrointestinal Disease

6 sections

11

Gastroenterology: Liver, Biliary & Pancreatic Disease

5 sections

12

Endocrinology & Diabetes: Diabetes & Thyroid

5 sections

13

Endocrinology & Diabetes: Adrenal, Pituitary & Calcium

6 sections

14

Renal Medicine: AKI, Glomerular & Tubulointerstitial Disease

4 sections

15

Renal Medicine: Fluid, Electrolytes & Acid-Base Balance

3 sections

16

Neurology: Cerebrovascular, Headache & Demyelinating Disease

4 sections

17

Neurology: Epilepsy, Movement Disorders & Neuromuscular Disease

3 sections

18

Rheumatology: Inflammatory Arthritis & Connective Tissue Disease

6 sections

19

Rheumatology: Systemic Vasculitis & Crystal Arthropathy

3 sections

20

Infectious Diseases & Tropical Medicine

7 sections

21

Haematology: Anaemias & Red Cell Disorders

3 sections

22

Haematology: Malignancy, Coagulation & Transfusion Medicine

6 sections

23

Psychiatry in General Medicine

3 sections

24

Geriatric Medicine

2 sections

25

Dermatology

2 sections

26

Oncology & Palliative Medicine

3 sections

27

Medical Ophthalmology

2 sections

MRCP(UK) Part 1 Exam Details

Membership of the Royal Colleges of Physicians of the United Kingdom (MRCP(UK)) Part 1 Examination

Administered by Federation of the Royal Colleges of Physicians of the UK (RCP London, RCP Edinburgh, RCPS Glasgow)

Official Source
Pass mark is a scaled ability score of 450 (scale runs from about 200 to 800), applied from the 2026/1 diet and set by Item Response Theory equating rather than a fixed percentage.
Passing Score
200
Questions
Two
Hours
GBP 520 (UK) and GBP 696 (international) from the 2026/3 diet in September 2026 onward; the 2026/1 and 2026/2 diets cost GBP 502 (UK) and GBP 672 (international).
Exam Fee

Exam Content Breakdown

Based on the official Federation of the Royal Colleges of Physicians of the UK (RCP London, RCP Edinburgh, RCPS Glasgow) content outline

Clinical sciences12.5%

Approximately 25 of the 200 questions. Cell, molecular and membrane biology (2), clinical anatomy (3), clinical biochemistry and metabolism (4), clinical physiology (4), genetics (3), immunology (4) and statistics, epidemiology and evidence-based medicine (5).

Clinical Pharmacology and Therapeutics7.5%

Approximately 15 of the 200 questions. Pharmacokinetics, pharmacodynamics, cytochrome P450 interactions, adverse drug reactions, therapeutic drug monitoring and the management of poisoning.

Cardiology7%

Approximately 14 of the 200 questions. Acute coronary syndromes, heart failure, arrhythmias, valvular and pericardial disease, cardiomyopathy and ECG interpretation.

Endocrinology, diabetes and metabolic medicine7%

Approximately 14 of the 200 questions. Diabetes and its emergencies, thyroid disease, pituitary and adrenal disorders, calcium homeostasis and metabolic bone disease.

Gastroenterology and Hepatology7%

Approximately 14 of the 200 questions. Peptic ulcer disease, coeliac and inflammatory bowel disease, gastrointestinal bleeding, viral and autoimmune liver disease and complications of cirrhosis.

Infectious diseases7%

Approximately 14 of the 200 questions. Sepsis and meningitis, HIV and opportunistic infection, tuberculosis, malaria, imported fevers and antimicrobial therapy.

Neurology7%

Approximately 14 of the 200 questions. Stroke and TIA, headache disorders, demyelination, epilepsy, movement disorders and neuromuscular disease.

Renal medicine7%

Approximately 14 of the 200 questions. Acute kidney injury, glomerulonephritis, tubulointerstitial and inherited renal disease, electrolyte disorders and acid-base balance.

Respiratory medicine7%

Approximately 14 of the 200 questions. Asthma and COPD, interstitial lung disease, pneumonia, pulmonary embolism, pleural disease and respiratory failure.

Rheumatology7%

Approximately 14 of the 200 questions. Rheumatoid arthritis, spondyloarthropathies, connective-tissue disease, systemic vasculitis, crystal arthropathy and DMARD monitoring.

Haematology5%

Approximately 10 of the 200 questions. Anaemias and haemoglobinopathies, leukaemias, lymphomas, plasma cell dyscrasias, coagulation disorders and transfusion medicine.

Psychiatry4.5%

Approximately 9 of the 200 questions. Mood and psychotic disorders in medical patients, psychopharmacology, serotonin syndrome, substance misuse and the Mental Capacity Act.

Dermatology4%

Approximately 8 of the 200 questions. Psoriasis and eczema, immunobullous disease, severe cutaneous adverse reactions and skin malignancy.

Geriatric medicine4%

Approximately 8 of the 200 questions. Comprehensive geriatric assessment, frailty, delirium, falls, polypharmacy and pressure ulcers.

Oncology2.5%

Approximately 5 of the 200 questions. Neutropenic sepsis, metastatic spinal cord compression, superior vena cava obstruction, malignant hypercalcaemia and tumour lysis syndrome.

Medical ophthalmology2%

Approximately 4 of the 200 questions. The acute red eye, sudden painless visual loss and retinopathy in systemic disease.

Palliative medicine and end of life care2%

Approximately 4 of the 200 questions. The WHO analgesic ladder, strong opioid titration and conversion, syringe drivers and terminal symptom control.

What's Included

27 Chapters

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What's Next After the MRCP(UK) Part 1?

After passing the MRCP(UK) Part 1, you can pursue these career paths

MRCP(UK) Part 2 Written

Pass the second written exam assessing complex clinical scenarios, investigation data, and imaging.

MRCP(UK) PACES

Practical Assessment of Clinical Examination Skills required for full MRCP(UK) diploma and specialist training entry.

Higher Specialty Training (ST4+)

Progress to competitive specialty registrar training across UK deaneries in cardiology, respiratory, gastroenterology, or other physician specialties.

Coming Soon

MRCP(UK) Part 1 Exam FAQ

Official Federation of the Royal Colleges of Physicians of the UK (RCP London, RCP Edinburgh, RCPS Glasgow) Resources

Verify information with these official sources

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